NPI 1548995350

Danielle R Witbro, NDTRCWP

Practitioner Registered Dietetic Technician Green Bay, WI

Practice location

Address: 737 Cormier Rd, Green Bay, WI 54304-4825
Phone: (920) 405-1478
Mailing address: 2216 Glendale Ave, Green Bay, WI 54303-6510

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 86052280 (WI)

Other Dietetic Technician, Registered providers in Wisconsin →

Registry record

NPI: 1548995350
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2022
Record last updated: 18 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.